Treatment of pelvic venous spur (May-Thurner syndrome) with self-expanding metallic endoprostheses.
OBJECTIVE
The application of self-expanding metallic endoprostheses (stents) to treat symptomatic pelvic venous spurs as an alternative to surgery.


METHODS
Wallstents with a diameter from 14 to 16 mm and one Cragg stent were placed in the left common iliac vein of eight patients (seven women, one man; mean age 42 years) with a symptomatic pelvic venous spur (left deep venous thrombosis or post-thrombotic leg swelling). Four patients had surgical thrombectomy prior to stent placement.


RESULTS
Technical success with immediate reduction of left leg circumference was achieved in all eight patients. A primary patency rate of 100% was observed during an average follow-up of 3 years (range 10-121 months). There were no procedural or stent-related complications.


CONCLUSIONS
The percutaneous transfemoral placement of self-expanding metallic stents is an effective minimally invasive alternative to surgery in the treatment of symptomatic pelvic venous spur.
Binkert
C A
CA
Department of Radiology, Kantonsspital Winterthur, Brauerstrasse 15, CH-8401 Winterthur, Switzerland.
Schoch
E
E
Stuckmann
G
G
Largiader
J
J
Wigger
P
P
Schoepke
W
W
Zollikofer
C L
CL
D000328:Adult; D001783:Blood Flow Velocity; D001807:Blood Vessel Prosthesis; D004487:Edema / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007084:Iliac Vein / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008670:Metals; D008875:Middle Aged; D010690:Phlebography; D015607:Stents; D013577:Syndrome; D017131:Thrombectomy; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000601:surgery*
D008670:Metals